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研究生:蘇雷曼
研究生(外文):SULAYMAN S.S. JAMMEH
論文名稱(外文):A Community Based Study on Married Couples’ Knowledge,Attitudes and Practice of Family Planning in The Gambia
指導教授:李皎正李皎正引用關係
指導教授(外文):LEE-HSIEH, JANE
口試委員:李皎正鄭夙芬劉介宇
口試委員(外文):LEE-HSIEH, JANECHENG, SU-FENLIU, CHIEH-YU
口試日期:05/19/2011
學位類別:碩士
校院名稱:國立臺北護理健康大學
系所名稱:護理研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2011
畢業學年度:99
語文別:英文
論文頁數:94
外文關鍵詞:Family PlanningContraceptive PracticeMarried CouplesCommunity basedThe Gambia
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Background: Family planning services are free of charge and available in all the health facilities in the Gambia since 1975 yet the prevalence rate is only 17.5% and even lower to 6% in some areas. The population is growing at a rate of 2.7% with total fertility rate of 3.9 while maternal and infant mortality rate at 730 per 100,000 and 55 per 1000 respectively.
PURPOSE: The purposes of this study are to explore married couples’ family planning knowledge, attitudes and practice in The Gambia and to analyze what factors may affect such knowledge, attitude and practice.
METHODOLOGY: A descriptive quantitative cross-sectional study design was used for this study. Through convenience sampling, 411 married men and women participated. A structured questionnaire with a positive validity to investigate the married couples’ knowledge, attitudes and practice was used. Trained research assistants collected data using face to face interviews, door to door approach from both urban and rural areas using the piloted questionnaire. Descriptive and inferential statistics was used to analyze the data.
RESULT: The result indicated high level of illiteracy 55.0% of participants with low level of family planning knowledge. The mean score of family planning knowledge was 18.96 (SD= 6.105; total score ranging from 0 to 64). There was negative attitude towards family planning among participants with a mean score of 6.85 (SD = 3.298; total score ranging from 0 to 16). The practice of family planning is also very low with a mean score of 4.69 (SD 3. 298; total score ranging from 0 to 19). Urban residents had shown better family planning practice than their rural counterparts, p = <.046. High level of early married coupled with low education level among female participants indicated serious gender disparities. These findings reveal that broader health intervention programs in health education and promotion are needed.
KEY WORDS: Family Planning, contraceptive Practice, Married Couples, community based, The Gambia

TABLE OF CONTENTS
Master research title ……………….………………………………….………………………………ii
Declaration….… ……….…………..………………….……………………………………………iii
Thesis Defense report………………………………………………………………………………….iv
Authorization statement for the thesis…………………………………………………………..……...v
Abbreviations…………………………………………..…...………………………………………….vi
Dedication: ……………………………………………………………………………………………vii
Table of contents………………………………………..…………………………………………….viii
Acknowledgement………………………...………….……………….………………………………..x
Abstract………………………………..………………………………………………………………..1
Chapter one………………………………………….………………………………………………….3
Introduction………………………………………….………………………………………….3
1.1 Background information…………………………...……………………………………….3
1.2 Significance of the study……………………..……...……………………..………………7
1.3 Purpose of the study………………………………………….……………………………10
1.4 Research questions……………………………..………………………………………….10
1.5 Definitions of variables…………….………………...………..………….……………….11
Chapter two……………………………………………………..….…………………………………..13
Literature review………………………………………..….………………………………….13
2.1 Family planning from global perspective ………….....……….………………………….15
2.1.1 Family planning in Africa …………………………….……………….…………….15
2.1.2 Unmet needs of family planning in Africa ……………..……………..…………….17
2.2 Male involvement in family planning ………………….…………………..…………….19
2.3 Benefit of family planning…………………………….………...………………………..20
2.4 Knowledge, attitude and practice of family planning………….……..……..……………21
2.4.1 Knowledge of family planning………………………………..……………..………21
2.4.2 Attitudes of family planning………………………………………………..………..23
2.4.3 Practice of family planning ……………….…...……………..………..…………….25
2.4.4 Socio-demographic and socioeconomic factors affecting family planning……….…26
Chapter three ………………………………………………………………………………..…………29
Methodology……………………………………………………………….…………………29
3.1 Conceptual framework………………………………………………….…..…………….30
3.2 Study design………………………………………………….……….……..……………30
3.3 Study setting………………………………………………………………………………31
3.4 Sample…………………………………………………………………………….………33
3.5 Inclusion criteria………………………………………………….……….………………33
3.6 Exclusion criteria…………………………………………….….……………………….. 34
3.7 Instrumentation……………………………………………………………………………34
3.8 Content validity…………………………………………………...………………………34
3.9 Data collection………………………………………………….……………...………….36
3.10 Data analysis ………………………………………………….…………..……………..37
3.11 Ethical consideration……………………………………………………………….……37
3.12 Disseminations of findings ……………………………………..……………………….38
Chapter four ………………………………………………………….…….……………………….. 39
Results ……………………………………..…………………………….………….………..39
4.1 Demographic characteristic of participants from rural and urban areas……………….….39
4.2 Scores for family planning knowledge, attitude and practice…………………..…………...…42
4.3 Contraceptive utilization among married couples in the Gambia……………….……………..42
4.4 Related factors associated with K.A.P. Among married couple ……………….……..….44
4.5 Relationship between knowledge, attitude and practice in family planning……….………….49
4.6 Stepwise regression analysis of factors predicting family planning practice…………….….. 50
Chapter five………………………………………………………………………..………………….51
Discussion…………………………………………………………………………………….51
5.1 Demographic background of participants………………………..………………………..51
5.2 Influence of socio-demographic factors on knowledge………………..…………….……52
5.3 Influence of socio-demographic factors on attitude………………….….………….…….56
5.4 Influence of socio-demographic factors on practice…………………………….………. 59
5.5 Summary……………………………………………………………….………………….62
Chapter six……………………………………………………………….………….…………………64
6.1 Conclusion ……………………………………………………………..…..……………..64
6.2 Recommendation…………………………………………………...……………………..65
6.2.1. Health promotion…………………………………………………………..………..65
6.2.2. Policy formulation………………………………………………..………………….66
6.3 Study limitation………………………………………………………...………………….67
6.4 Implication for practice ……………………………….…………..……………………. 67
Reference …………………………………………………..…………………………………………68
Appendix A permission letter..............................................................................................71
Appendix B permission letter……………………………………….…..……………………72
Appendix C letter to experts……………………….……………….….…..…………………73
Appendix D: authority letter……………………….………………..….…………………… 74
Appendix E: support for data collection………………………………..…….………..…….. 75
Appendix F: letter from UNFPA………………………………………..…………………….76
Appendix G: letter from GFPA……………………….……………………………..………..77
Appendix H: study schedule 2010……………………………………..……..………………78
Appendix I: consent form A & B ……………………………………………..………….….79
Appendix J: letter to expert ……………………………………..…………………………….80
Appendix K: .questionnaire for expert review …………………………...…………………..81
Appendix L: couples K.A.P Complete questionnaire …………………….……………….....86

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